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Can I preserve my fertility?

I've heard so many horror stories of women who wait until their mid-thirties or later to have children, then find out that they are infertile. I'm 25 years old now and nowhere near getting married or having babies, yet I don't want this to happen to me when I'm ready. What can I do now to protect my fertility and make sure I am able to conceive when the time is right? It's causing me a lot of anxiety!!


What's the process for egg donation and is it safe?

1) I have seen multiple advertisements for egg donation in my school's newspaper. I could sell my eggs for $25,000 or more! That's a year of tuition! There's got to be a catch. When I do some research to find out the procedure and the risks, I only seem to find oocyte donation "businesses" — not the most straight forward sources on the subject. Alice, I trust you! Can you tell me... what have I got to lose?

2) I see lots of ads in the paper here at my school about egg donors wanted. I think that I would like to donate an egg, but I can't find any information on the net about donating — only about receiving a donation. Can you tell me what the process is like, how long it takes, and whether there are side effects or permanent long-term effects? Or point me towards some other resource.


Why have I started fantasizing about women when I've only ever liked men?

I have always been attracted to men, and have only been with men. I am currently happily engaged to a man, and have no doubts about our relationship. However, I've discovered over the past couple of years (even when I was with my previous boyfriend) that I do not like porn with men in it. I like lesbian porn! And anytime I've masturbated I've fantasized about women (never one that I know or have seen.) It's made me very uncomfortable, finally admitting it to myself. I do remember when I was in 7th grade there was a new girl at our school. When she got a boyfriend I was very jealous; I just assumed it was because she was new and I didn't have all her attention *ha* Is this normal? Am I out of my mind!?


If someone's sexually adventurous, does that mean they're more likely to cheat?

If my wife is sexually adventurous, does it mean she's more likely to cheat? My wife is slowly opening up to me about how sexually adventurous she wants to be (I'm talking bondage-type stuff), and I'm afraid that maybe she might cheat in the future if her "appetite" isn't met. I haven't voiced any of these concerns, I've been completely supportive of it and actually would be completely ok with doing all of it. I just worry that maybe the adventure-ness might be a sign of promiscuity?


How can I get over my boyfriend using porn magazines?

So my problem is that recently (about 6 months ago) I discovered that my boyfriend keeps pornographic magazines. We have been going out for 6 years. Much of that has been long-distance, but we have lived together for the last year. This discovery blew me away in part because until then my only complaint about our relationship was the fact that he didn't want sex nearly as often as I did — so now I'm angry that while I was feeling less than satisfied, physically, he was masturbating, and leaving me out in the cold. Since then, I've also noticed that he only wants to have sex after he's spent some time with his mags.

Given that I am horrified by the mere existence of this kind of material — I'm not going to get into a debate about its legality, but I truly believe it is exploitation worse than slavery. Given this, is there any way to work things out with him? In short, how far am I supposed to stretch my ethics, just because part of me believes that sexually, each of us is free to do what we want??


Does physical activity rev up my sex drive?

I'm curious to know if going to the gym increases sexual drive? I am a female in my 20s and recently started an exercise routine (running and weights), and I have noticed that my sexual drive has increased significantly. There have been no other major changes in my life, and I have been dating the same man for close to two years now, so I can think of no other real reason why my libido would have increased. Is there any real connection between working out in the gym and beneath the sheets?


How do I tell my girlfriend I'm sterile?

I am an 18-year-old male. And I lost my ability to reproduce in a bull riding accident at a rodeo I competed in about two years ago. I would like to father children more than anything. And now I have a girlfriend who is talking of wanting to have kids in the future. But I can't bring myself to tell her that I can't because I still haven't dealt with the problem of coping with it myself. I need to know how to deal with the fact I cannot have kids, especially now that my significant other wants them, but is ignorant to the fact that I am sterile. Please help me ASAP! This is tearing me apart.


Can I go off and on birth control pills on my own?

I've been on birth control pills for eight years and I'm thinking about trying a few months off them. They were prescribed when I was pretty young because of very irregular periods. I also was involved in a monogamous relationship for a number of years, so they were convenient. Now I have no steady partner, and am really curious to see how I feel without taking these pills. Would it be ok to go off them at the end of my pill pack or should I consult someone at health services first? If I go off for a few months and my periods are as horrendous as they were when I was younger, would it be safe to start up again on my own (I usually just see someone once per year for pill checks)?


What is my risk of postpartum depression as a mom-to-be with social anxiety disorder?

I'm an anxious person. My clinical diagnosis is social anxiety disorder, but I have anxiety in many other situations and a couple of phobias to boot. I've seen therapists on and off for the past 20 years and have been on multiple SSRIs (I am off of anti-anxiety medications currently). I manage my anxiety with plenty of exercise, sleep, and relaxation exercises, but mostly I just accept that this is the way I am. My husband and I are starting a family soon, and my new worry is post-partum depression or anxiety. If I'm already moody, will the hormones and stresses of pregnancy drive me completely crazy? Does having a history of mental illness put me at a greater risk for developing a disorder like post-partum depression? Thanks for your help!


When should I take a pregnancy test if I have a late period?

My period is late this month, and I'm afraid that I may be pregnant. The weird thing is, though, my partner and I never actually had actual sexual intercourse (in other words, there was no penetration). I'm wondering if the wet environment could still be a risk. I'm hoping that it's due to stress and fatigue with finals coming on that causing this delay. How long should I wait before getting tested?


Is it normal to spot with a NuvaRing?

I have been on the Nuvaring for three months now, and I am keeping it in for the four weeks then changing it because my doctor said there's no need for me to have a period. About two weeks ago I started having dark brown discharge and it has gotten more heavy, but only when I run or stand up real quick. Is this normal or should I call my doctor and find out what is going on?


What should I do if my boyfriend says no to role-playing?

I love my boyfriend, and communication is great, but things have gotten a little... boring.

I have this scenario that involves role-playing that I'm dying to try, but when I asked my boyfriend if he thought role-playing would be too kinky, he responded that he doesn't see the need for it and "why would I want to imagine someone else if I have you?" That was very sweet, but it makes me feel guilty to approach the subject again. I don't want him to think I love him less than he loves me, I just think it would be fun to try...

So, how do I tactfully re-approach this with him... or do I just try to forget about it and accept that we be confined to "business as usual"? Please help, Alice.


Is Mirena safe for those who have yet to give birth?

I have recently been advised that my on-going migraines might be caused and/or increased by the use of contraceptives containing estrogen. To that end, I have been recommended to switch to a progesterone-only form of birth control. Which, in turn, basically means I get to choose between Implanon and Mirena (I really can't stand needles, so Depo is out for me!). I am only 23 years old, and have not yet started a family. I do want to have children someday, and am very enticed by the idea of Mirena lasting to the point when I might want to begin trying to get pregnant. However, all of the advertisements for Mirena state that ideal candidates have already had children.

Is Mirena still safe for use in women who have not yet given birth? If so are there any additional side effects to consider in this instance?


Is it possible to have orgasms after childbirth?

My wife and I had our first child last July. Until about 3 months ago, she was unable to reach orgasm at all. Of late, she has very small one's, but they don't seem to be getting much better. Prior to having the baby, she had strong, very quick (3-5 minutes) orgasms 90% of the time. I know the stress of being at work rather than home with the baby could play a part in this. Is this common and is there a way to mitigate the problem? 


What should I do with her breasts?

I've been having this problem with my girlfriend. Whenever we make out, I get the impression that she wants me to do something with her breasts... but I don't have the foggiest what to do.

I'm sure that they aren't there strictly for my enjoyment; so, what can I do with my girlfriend that would offer her some pleasure, as well?

I've tried other sources of information, but most other sources either concentrate solely on the vagina, g-spot, and clitoris, or they simply state that breasts are an erogenous zone and leave it at that.


What does it mean if I desire anal sex?

I am a well-adjusted late twenties male with a steady girlfriend. Lately, I have been increasingly fantasizing about various types of anal penetration. I have discovered that during masturbation, this brings me very intense pain/pleasure. Even though I think it may be satisfying to experiment with a vibrator or other objects inserted by my girlfriend, I find myself drawn toward trying the real thing (i.e., having anal sex with a penis). The problem is, I definitely do not consider myself homosexual and, in fact, the thought of the actual act with another man actually repulses me. Am I trying to have the real thing without going through a bisexual experiment or what?


What are the health effects of only having one ovary?

I'm a 19-year-old female. I had my right ovary removed (oophorectomy) three years ago due to a very large ovarian cyst. I was assured by my gynecologist that I'm still capable of bearing children but wasn't informed thoroughly of all of the pros and cons in regards to this type of operation (e.g., can the estrogen loss have any negative physical affects?). If you could shed some light on this matter, it would be greatly appreciated. Thanks.


How do I feel more comfortable with a new sex partner?

First, I'd like to thank you for this service! It's been so informative to read the advice you've given others. I'm a female grad student and have just gotten into a relationship for the first time. I have a few questions regarding oral sex: my boyfriend loves to suck my nipples and I feel great when he's doing it, but after a while, my nipples start to feel tender and actually hurt sometimes... is this normal? He's not rough when he's doing it, so I'm not sure why this happens.

Also, when my boyfriend "goes down" on me, I worry about what he thinks of my smell and taste. He says he likes it, but I can't be sure... is there some way of finding out if my scent is normal? Can he pass any infections (to my vagina) from his saliva? (He has had only 1 one-night stand affair and he used a condom that time).

Also, I masturbate him (I stroke his penis) until he "comes," but I'm afraid of tasting his "come." He hasn't asked me to, but I think he would like it if I did... how can I overcome this inhibition? Are there any risks for me? I appreciate any help/advice... Thanks a lot!


What's polycystic ovary syndrome?

1) This is in reference to your Missed periods Q&A. Another cause of missed or late periods is PCOS (polycystic ovary syndrome). A lot of health care providers don't seem to be aware of this syndrome. In this syndrome, missed or irregular periods are caused by unusual hormone levels, sometimes in combination with insulin intolerance. Because missed and irregular periods cause scar tissue build-up in the uterus (which may cause endometrial cancer) and may cause infertility, it is important that your readers know to ask their health care provider about this syndrome. There are obviously other symptoms and complications, but I just thought that I might mention it to you so that you might read up on it for your readers. Thank you.

2) I was recently diagnosed with polycystic ovary syndrome (PCOS). I'm only 17 and am afraid that this will affect my chance of having children. Should I worry? Also, I know birth control pills will help me regulate my period, but if I take them, will it stop the effects PCOS has on me? Like me gaining rapid weight, missed periods, and losing my hair? This is really worrying me. Can you inform me on this syndrome?


How can we make it more equal when it comes to initiating sex?

I have been with my long term girlfriend for five years. I am seriously thinking about getting engaged.

Over the last three years she has taken control of our sex life. I have definitely become submissive in the bedroom. We don’t get into BDSM, but she always decides when, where, and how. She loves this control. While I have come to accept my submissive role, and I do certainly enjoy making love to her and pleasing her, I have asked her on many occasions for some variety. I would like to enter her sometimes and she has not performed oral sex on me for years. Granted, I am a bit under average in the endowment area and she always has a hard time reaching orgasm with straight intercourse. I have tried to talk to her, but she always shuts down the convo by making me admit that I love pleasuring her. Of course when we start fooling around I am so excited that I just follow her lead.

Honestly, I am very happy in every other aspect and I don't want to add any friction to the relationship. She is a very private person and doesn’t like to talk sex. Visiting a therapist is not an option as I have already subtly suggested it and been rebuffed. Should I be overly concerned? Should I continue to press the issue (although it doesn’t seem to be getting me anywhere) or just accept my role? Again, I do enjoy pleasing her and I usually get off. I guess I could be happy continuing this way and I don't want to lose her. I would love your thoughts.


What kind of lube should I use when I cock-stuff?

I have started "cock-stuffing" in the past year or so. I use a glass thermometer and insert it into my urethra. I know that this is wildly dangerous — as the glass could break — but I thought it safer as it is manufactured very smoothly.

I know other men who use a variety of implements — pens, markers, tubes, etc., but I have only done it a few times — and it seems that the glass — while not safe as it could break — is safer as it must surely be smoother.

I use my own saliva as a lube — as I am not sure if a personal lubricant — i.e., Wet, KY jelly, or the like, is safe. Not that putting a piece of glass into your urethra is all that safe to start with.

My question — in the end — is personal lube okay to use? Is this a common fetish — I don't do it often — and it doesn't seem to affect me adversely afterwards.

Thank you for any light you can shed on this.


If I'm recovering from anorexia, when should I expect to get my period back?

I was anorexic for three years and I have been in recovery for two. At the moment, I am doing well. I have a healthy weight, I eat a balanced diet, I work out regularly though not excessively, and I feel good. However, I haven't had my period in about three years now. I had been told it would come back once I reached a healthy weight, but so far, no deal, even though I've been at this weight for over a year now.

Before I became anorexic, I did get my period regularly. I am 23 years old. I am taking a calcium supplement daily to prevent osteoporosis, but I would feel more comfortable if I did get my period again. What is going on? How worried should I be? Should I go see a doctor? What can I do about this?


Why was my first time so painful?

1) I have never had sex, but I have tried now twice with my boyfriend, and it has been incredibly painful. It felt like there was a barrier inside me, and the second time I bled. I feel like I am relaxed, and my boyfriend is very gentle and slow, but it still really hurts — more than I think it should. I am able to use tampons — I'm not that small — but I don't know what the problem is. Is it supposed to hurt this much? Could there be something wrong?

2) I'm a virgin, and the first time my boyfriend inserted his fingers in my vagina, it hurt a lot, and I got sore down there. I didn't reach an orgasm, but faked it so he would stop. I didn't enjoy it at all and I was wondering... is this going to happen when I have sex? Is it going to be as disappointing?


If I don't take birth control pills at exactly the same time am I unprotected?

I have two questions, first: On my birth control pill box instructions it says to take a pill each day at ABOUT the same time. I was wondering, does this mean that I should set an alarm to make sure I take it the exact minute every day (which is what I've been doing) or can I take it within a couple of hours difference if I decide to sleep in on Saturday?

Secondly: My doctor told me that if I miss a pill to consider myself unprotected for that month. However, after I left I realized that in biology class we learned that a ovum (or egg) can only survive a few days inside the fallopian tubes and uterus and then it get absorbed into the body (or dies). If I missed a pill then wouldn't I only be unprotected for the next couple of days (if an egg was produced in the 24 hr period that I didn't take the pill) instead of the whole month?